Accountants for Private Hospitals, Clinics & Care Homes
4.9/5.0
Google Reviews
See what doctors, dentists, and care providers say about working with us.
Insurer and self-pay income reconciliation, consultant fee arrangements, statutory accounts and management reporting by department.
Occupancy and fee income tracking, local authority and private resident billing, agency staff cost control and CQC-ready records.
VAT partial exemption on mixed medical and cosmetic work, capital allowances on theatre and imaging equipment, and payroll for clinical teams.
Consolidated accounts, intercompany recharges, group VAT and site-by-site profitability reporting for expanding providers.
Full expensing and Annual Investment Allowance claims on theatre, imaging and ward equipment, plus group relief and tax planning.
Healthcare is largely VAT exempt, but cosmetic work, pharmacy sales, catering and room hire are not. We calculate partial exemption correctly.
Companies House and HMRC filings on time, plus monthly management accounts showing income and margin by department or site.
Large-volume payroll including bank and agency shifts, unsocial hours, statutory pay and pension auto-enrolment, filed accurately every cycle.
NHS Pension administration and support for consultants on Annual Allowance, plus correct treatment of self-employed consultant fees.
We understand NHS funding, insurer income, consultant fee models and care home fee structures.
Management accounts by department, site or service line, ready for the board pack each month.
We calculate and document the exempt and taxable split so recoverable input VAT is not lost.
Bank shifts, agency cover, unsocial hours and auto-enrolment processed accurately every cycle.
Accounts, returns and payroll filed on time, with records that stand up to funder and CQC scrutiny.
Clear pricing agreed up front, so you get full expert service with no hidden extras.
We begin by getting to know your practice and understanding your unique needs. This step ensures we have a clear picture of your operations and your goals.
Based on our initial discussion, we create a personalised plan designed specifically for you. The aim is to keep everything organised and easy to follow. You can rest assured that your numbers are being handled with expert precision.
From there, we take care of the ongoing work and keep you updated with reports. You’ll always know what’s happening, and we’re always here to answer your questions, ensuring you have a clear picture of your financial health at all times.
Using the latest technology to offer customised financial strategies that help healthcare practices grow and thrive.
A dedicated accountant who knows your sites, your income mix and your reporting deadlines.
Our team is here whenever you need guidance. We offer unlimited support to ensure your financial management is always on point.
Our team has over 100 years of combined accountancy experience.
Never Miss any deadline with our automated email reminders.
We’re an ICAEW, ACCA & AAT accredited Firm.
Take a back seat and let our accountants handle everything. Switching partway through the year is straightforward, and we deal with your old accountant for you:
Tell us about your hospital and current accounting requirements.
We’ll send over a simple letter to formalise our partnership and get everything in motion.
If you're switching, we’ll take care of contacting your previous accountants to make the transition smooth.
From there, sit back and relax. We’ll manage your accounts, taxes, and everything in between, keeping your practice running smoothly.
Support usually covers the day-to-day and year-end financial work a hospital business needs: bookkeeping, payroll for clinical and non-clinical staff, annual accounts, management accounts, budgeting, cash flow forecasting and financial reporting. Depending on your structure and activities, we can also help with Corporation Tax matters and VAT, including guidance on how VAT treatment can vary according to the nature of the supplies you make, the activities involved and your organisation's status. Because hospital businesses differ so much, we agree the scope with you up front rather than applying a one-size-fits-all package.
We support private hospitals, independent hospitals, hospital operators and hospital groups, as well as smaller hospital businesses delivering inpatient, outpatient, diagnostic or day-case services. Accounting needs can vary widely across those organisations depending on their legal structure, funding arrangements, income streams, staffing, premises and equipment. We tailor our approach to how your hospital actually operates rather than assuming all hospital businesses are the same.
We work on fixed, transparent packages agreed in advance, so you know what you are paying for and there are no hidden fees appearing later. The fee reflects the size and complexity of your organisation, the range of services you need and the volume of work involved, such as payroll numbers, transaction volumes and reporting requirements. We will talk through your circumstances and set out the scope clearly before anything is agreed.
Yes. Hospitals typically employ a mix of clinical, administrative, facilities and support staff, often on varied contracts and pay structures, which makes payroll more involved than in many other sectors. We can manage payroll processing and the associated reporting, and prepare management accounts that separate out staff costs alongside other major expense areas. That gives you a clearer picture of how the hospital is performing month to month and where margins are being affected.
Corporation Tax support is available where it applies to your organisation, based on your structure and taxable activities. VAT is more nuanced: treatment depends on the nature of the supply, the activities involved, the organisation's status and the specific circumstances, so it is not something to generalise about. We review your position, help you apply the correct treatment to your income streams and costs, and keep the supporting records in order. We do not assume that NHS hospitals and private hospitals share identical accounting or tax treatment, because that is rarely the case.
High fixed costs are usually the starting point: staff payroll, medical equipment and capital expenditure, premises and facilities, and regular supplier payments. Alongside those sit multiple income streams arriving on different timescales, which can strain cash flow and complicate financial reporting. Budgeting, forecasting and well-structured management accounts help you see pressure points early. Corporation Tax and VAT considerations add further complexity, particularly where the VAT position depends on what is being supplied and by whom.
We prepare accounts, tax and related work in line with applicable UK accounting and tax requirements, and we keep our processes and records aligned with professional standards and regulatory expectations. Where a piece of work depends on your specific structure, activities or circumstances, we take the time to establish the facts before advising. If a question falls outside our remit, we will say so rather than guess.
Getting started is straightforward. We begin with a conversation about your hospital or hospital business, your current accounting arrangements and what you need support with. If you are switching, we can liaise regarding the handover of information from your existing accountant and agree a sensible timetable for the transition. From there we confirm the scope, explain how the process works and put a plan in place so the changeover does not disrupt your reporting or compliance deadlines.
